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illness perils
A classification used by health insurance underwriters to
evaluate the type and degree of peril represented by a particular
occupation. Illness perils include exposure to dust, poisons,
and extreme temperatures. See also accident perils.
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immediate annuity
An annuity under which income payments begin one period after
the annuity is purchased.
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immediate participation
guarantee (IPG) contract
Similar to a deposit administration contract except that an
IPG contract does not fully protect the plan sponsor against
investment loss, nor does the IPG contract guarantee minimum
investment returns. See also deposit administration contract.
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impairment
Any aspect of the health, occupation, activities, or life-style
of a proposed insured that could increase his or her expected
mortality or morbidity.
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impairment rider
An attachment to a health insurance policy that excludes or
limits coverage for a specific health impairment. Also called
an exclusion rider or impairment waiver.
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implied authority
The authority that a principal intends an agent to have and
that arises incidentally from an express grant of authority.
See agent and principal. Compare to apparent authority and
express authority.
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incentive coinsurance
provisions
Provisions included in some dental policies that promote regular
dental care by specifying that insurers will pay a higher
percentage of dental expenses if the insured receives regular
dental examinations.
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incident of
ownership
Any policy right including the right to (1) change the beneficiary,
(2) cancel or surrender the policy, (3) assign the policy,
(4) obtain a policy loan, or (5) use the policy as collateral
for a loan.
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income protection
insurance policy
A type of disability income policy which specifies that an
insured is disabled if that person suffers an income loss
caused by a disability.
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income replacement
benefit
See recovery benefit.
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income replacement
ratio
The percentage of preretirement income that a retiree would
need to receive after retirement in order to have a postretirement
standard of living equivalent to his or her preretirement
standard of living. This ratio is generally less than 100
percent, because some of an individual's expenses (i.e., taxes,
commuting costs, clothing expenditures, savings needs) decrease
after retirement. Also known as the replacement ratio.
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incontestable
clause
Life insurance policy clause that provides a time limit (usually
two years) on the insurer's right to dispute a policy's validity
based on material misstatements made in the application. See
also contestable period.
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increasing term
insurance
A type of term insurance in which the death benefit of the
policy increases during the term of coverage. The death benefit
may increase at stated intervals by some specified amount
or percentage, or it may increase according to increases in
the cost of living.
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indemnity
See contract of indemnity.
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independent
life brokers
Licensed brokers who operate independently and specialize
in selling particular types of products or in meeting the
business coverage or estate planning needs of certain target
markets.
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independent
marketing organization (IMO)
A non-company affiliated organization that contracts with
an insurance company to perform distribution and other marketing
functions for one or more of the company's products or product
lines.
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independent
property/casualty (P/C) brokers
Independent, multiple-line agents or agencies that are primarily
engaged in the distribution of property/casualty products
and that make up what is commonly known in the property/casualty
insurance industry as the independent agency system or the
American Agency System.
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indeterminate
premium life insurance
A type of nonparticipating whole life insurance that specifies
both a maximum potential premium rate and a lower premium
rate. The lower rate is paid by the policyowner for a specified
period (from 1 to 10 years) immediately after the policy is
purchased. Later, the premium rate may fluctuate according
to the investment earnings of the insurance company, but the
premium rate will never be larger than the maximum premium
rate. Also called flexible premium life insurance, nonguaranteed
premium life insurance, and variable premium life insurance.
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indexation
In pension planning, the adjustment of postretirement benefits
to compensate for the effects of inflation. Benefits are generally
indexed to increase in accordance with an increase in the
level of a price index such as the Consumer Price Index (CPI).
See also cost-of-living adjustment (COLA).
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indexed life
insurance
A whole life plan of insurance that provides for the death
benefit of the policy and, consequently, the premium rate
to increase automatically every year in accordance with any
increase in the Consumer Price Index (CPI).
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individual account
plan
A pension plan funded according to a defined contribution
formula. Each participant's benefits are based on the amount
contained in that individual's account. See defined contribution
formula and defined contribution pension plan.
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individual employer
groups
A group insurance market segment composed of single employers
providing coverage for employees through a policy--the master
contract--issued to the employer.
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individual fraud
A type of medical insurance fraud committed by individuals
on their medical expense claims in order to obtain benefits
in excess of their medical expenses. Contrast with provider
fraud.
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individual funding
methods
Pension plan funding methods in which the amount of contributions
necessary to fund a plan is determined by first separately
calculating the contributions for each of the plan's participants
and then adding these amounts to arrive at the total required
contribution for the plan. Contrast with aggregate funding
methods.
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individual insurance
Insurance that is issued to an individual person, as contrasted
with group insurance. Also called ordinary insurance. See
also ordinary life insurance.
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individual practice
association (IPA)
A means of organizing a health maintenance organization (HMO)
in which the participating physicians maintain their own separate
offices. Such physicians usually treat both private patients
and HMO members. See also group practice model (GPM).
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individual retirement
account (IRA)
In the United States, a tax-sheltered savings plan that allows
some citizens to make pre-tax contributions to an approved
account. The contributions and investment earnings are taxable
as income only when paid out. Investors can establish IRAs
through a number of financial institutions, including insurance
companies. See also Keogh Act and simplified employee pension
(SEP).
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industrial insurance
A form of life insurance which today accounts for a small
percentage of the business sold through the home service distribution
system but a considerable percentage of the insurance in force.
It is characterized by (a) death benefits of $2,000 or less,
(b) a weekly, biweekly, or monthly premium payment schedule,
(c) the collection of premiums at the policyowner's residence
by an agent, and (d) minimum underwriting requirements. See
also home service distribution system.
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in-house brokerage
agency
A department established by an exclusive-agent company and
staffed by company-employed brokerage sales people whose primary
function is to solicit distribution agreements with other
companies offering products that the exclusive-agent company
itself does not manufacture. The company's agents can then
broker business with those companies through the in-house
brokerage agency.
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initial deductible
See deductible.
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initial premium
The first premium payable for an insurance contract.
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initial reserve
The reserve on a policy at the beginning of any given policy
year. The initial reserve includes the net annual premium
then due.
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inside build-up
See cash value.
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insolvency clause
In the United States, a clause contained in most reinsurance
contracts and required by most states which specifies that,
if the ceding company becomes insolvent, the reinsurer must
pay the ceding company or its liquidator all reinsurance which
comes payable, without reduction, even if the ceding company
or its liquidator has failed to pay all or a portion of any
claim.
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inspection receipt
A receipt given to the applicant when the applicant receives
a policy for inspection. This inspection receipt states that
the insurance is not in effect and that there has been no
delivery of the policy in the legal sense.
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inspection report
A report made by a consumer reporting agency concerning a
proposed insured's lifestyle, occupation, and economic standing.
An inspection report is considered an investigative consumer
report, as defined by the Fair Credit Reporting Act. See also
investigative consumer report.
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installation
The term used to include all the activities from the time
a prospect decides to purchase a group insurance policy to
the time the master contract and its individual certificates
are issued.
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installment
certificate
A certificate issued to the beneficiary of a life insurance
policy that specifies the amount of each benefit payment and/or
the period during which benefit payments will be made under
a settlement option. An installment certificate also specifies
whether a beneficiary is allowed to withdraw all or part of
the funds during the payment period. See also settlement agreement
and settlement options.
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installment
refund option
A form of life income option with refund which specifies that
any proceeds remaining after the death of the beneficiary
will be paid in installments to the contingent payee. Contrast
with the cash refund option.
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insurability
provision
An insurance provision stipulating that, for a policy to become
effective, the insured must still be insurable at the time
of policy delivery according to the underwriting rules and
practices of the company.
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insurability
statement
A questionnaire that an insurer may ask an applicant to complete
when a considerable amount of time has elapsed between the
time the application is received and the time the policy is
actually issued. The purpose of the insurability statement
is to determine if any insurability factors have changed since
the original application was completed. Insurability statements
help protect insurers from post-issue antiselection. See also
antiselection.
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insurability
type temporary insurance agreement
An agreement issued in conjunction with a conditional premium
receipt that provides temporary life insurance coverage as
of the date specified in the agreement on the condition that
the proposed insured is insurable. See also conditional premium
receipts and temporary insurance agreements. Compare to approval
type temporary insurance agreement.
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insurable interest
A condition in which the person applying for an insurance
policy and the person who is to receive the policy benefit
will suffer an emotional or financial loss if the event insured
against occurs. Without the presence of insurable interest,
an insurance contract is not formed for a lawful purpose and,
thus, is void from the start.
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insurance
A system of protection against loss in which a number of individuals
agree to pay certain sums of money, called premiums, to create
a pool of money which will guarantee that the individuals
will be compensated for losses caused by events such as fire,
accident, illness, or death.
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Insurance Act
In Canada, a general statute that contains most of the insurance
law of a common law province and that regulates the conduct
of insurers and insurance agents within the province.
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insurance agent
A representative of an insurance company who sells insurance.
An insurance agent locates prospective insurance customers,
determines the insurance needs of each customer, and assists
the customer in applying for insurance. Typically, an insurance
agent will deliver the policy when the application is approved,
will collect the initial premium, and will provide customer
service to policyowners. Also called an agent, a field underwriter,
or a life underwriter. See also broker, detached agent, general
agent (GA), personal producing general agent (PPGA), and soliciting
agent.
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Insurance Regulatory
Information System (IRIS)
In the United States, an information system developed by the
NAIC to help state regulatory agencies assess the financial
stability of individual insurance companies by means of a
series of ratios derived from the companies' statutory annual
statements.
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insurance trust
A common form of trust, created during the lifetime of the
person who creates the trust, that is funded by insurance
policies on the life of the trust's creator or by the proceeds
of such policies.
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insured
(1) In the United States and Quebec, a person whose life is
insured by an insurance policy (for individual life insurance
policies, called the life insured in the rest of Canada).
(2) In the common law provinces of Canada, the owner of an
individual life insurance policy (called the policyowner in
the United States and the policyholder or owner in Quebec).
(For the purposes of this glossary, we have used this term
as it is used in the United States and Quebec, except in the
definitions of purely Canadian terms, in which cases we have
made it clear that we are using the term as it is used in
Canada.)
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insured funding
A method of funding a pension plan in which the plan sponsor
purchases annuity or life insurance contracts on behalf of
each participant. The insurance company guarantees a certain
benefit to each retiree. See also group deferred annuity.
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insurer
The party in an insurance contract that promises to pay a
benefit if a specified loss occurs. Usually an insurance company.
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insurer-administered
group insurance plan
A group insurance plan for which the insurer performs the
administrative work. This administrative work includes computing
the amounts of the premiums due and mailing premium notices
to the policyholder, usually monthly.
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integrated deductible
A type of deductible included in some major medical expense
plans that can be satisfied by amounts paid by the insured
under basic medical expense plans. Contrast with corridor
deductible.
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integrated dental
plan
A dental plan which is part of a major medical policy.
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integrated pension
plan
A private pension plan in which the benefits or contributions
are coordinated with the benefits or contributions of a government-sponsored
pension plan.
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interest-adjusted
cost
One figure calculated under the interest-adjusted net cost
(IANC) method of comparing the costs of life insurance policies.
The interest-adjusted cost represents the average annual cost
of a policy and is calculated using premiums, dividends, and
cash values. Also called the surrender cost index (SCI).
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interest-adjusted
net cost (IANC) method
A method of comparing the costs of life insurance policies.
The IANC method weights dividends and cash values according
to how far into the future the various amounts are payable.
Under this method, three amounts are calculated: the interest-adjusted
cost, the interest-adjusted payment, and the equivalent level
annual dividend. Also known as the surrender cost index (SCI)
method. See also cost comparison methods.
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interest-adjusted
payment
One figure calculated under the interest-adjusted net cost
method of comparing the costs of life insurance policies.
The interest-adjusted payment represents the average annual
payment for the policy and is calculated using only premiums
and dividends. Also called the net payment cost index.
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interest option
A life insurance settlement option under which the proceeds
of a policy are temporarily left on deposit with the insurer
and the money earned on those proceeds is paid annually, semiannually,
quarterly, or monthly to the beneficiary or other payee.
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interest-sensitive
insurance
See investment-sensitive insurance.
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interest-sensitive
whole life insurance
See current assumption whole life insurance.
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internal replacement
The surrender of one life insurance policy in order to buy
another insurance policy that is issued by the same insurer.
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interpleader
A method for settling a claim under which the insurer pays
the policy proceeds to a court, stating that the company cannot
determine the correct party to whom the proceeds should be
paid, and asks the court to decide the proper recipient.
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investigative
consumer report
As defined by the Fair Credit Reporting Act, a consumer report
that uses interviews with persons who are associated with,
or who have knowledge of, the consumer in question in order
to solicit information regarding the consumer's character,
mode of living, or general reputation. See also inspection
report.
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investment-sensitive
insurance
A general category of insurance products in which the death
benefit and the cash value vary according to the insurer's
investment earnings. In investment-sensitive insurance products,
policyowners share a portion of the insurer's investment risk.
The exact benefit amounts for these policies cannot be computed
in advance, beyond any guaranteed minimums. The specific products
that make up this category of insurance include variable annuities,
variable life insurance, and variable universal life insurance.
Also called interest-sensitive insurance.
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investment year
method (IYM)
An accounting method in which an insurer keeps records of
the interest rates it earns annually on funds assigned each
year to accounts within the general account. Also called the
new money method. Compare to the portfolio method.
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involuntary
plan termination
The curtailment of a pension plan initiated by a government
organization, such as the Pension Benefit Guaranty Corporation
(PBGC) in the United States, rather than by the plan sponsor.
Contrast with voluntary plan termination. See also distress
termination and standard plan termination.
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IPA
See individual practice association (IPA).
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IRA
See individual retirement account (IRA).
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irrevocable
beneficiary
A beneficiary whose rights to the proceeds of a life insurance
policy cannot be cancelled by the policyowner unless the beneficiary
consents. See also beneficiary.
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issuing bank
A mutual savings bank that sells and issues life insurance
policies in its own name. Each issuing bank issues its own
contracts, keeps its own records, and invests the assets of
its own insurance department. See also agency bank and savings
bank life insurance (SBLI).
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